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Job Title: Customer Service/Claims Specialist
Location: United States
Submitted on: 24-May-04
Job Title Workplace Survey
Customer Service/Claims Specialist The opportunity for advancement is strong, however specific criteria needs to be met. The dress code is business-dress and on Fridays we may dress business casual. A 40 hour work week is available with some opportunity for overtime if the call volume is high. There is great diversity. Negatively, the company has grown too quickly and cannot meet the needs of the employees. If an employee needs help on a call, the employee cannot find help most of the time. The associates who are there to help us are usually put on the phone to help handle the high call volume or they are unavailable. The managers don't know the answers to our questions. The information we need to give to members and providers is sometimes unavailable. The computer systems don't supply us with enough information, mostly what people need. The computers are very slow. Our systems aren't updated with the correct information. Our claims department constantly processes claims incorrectly. When providers send in referrals, they are constantly lost. If we need to call members or providers back, we aren't allowed off the phones to do so. Our members and providers call us frustrated and we are yelled at for things that we cannot help. The company is disorganized and most of the problems are due to the high growth rate and major disorganization. This stresses the employees out and also makes the employees hate their job.

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